Medical Billing Forum

Billing => Billing => : mmatx1969 December 31, 2014, 03:20:37 PM

: Federal Employee Program no longer covering room board
: mmatx1969 December 31, 2014, 03:20:37 PM

Good morning.
I bill for a PRTF and received word that the Federal Employee Program for BCBS will no longer cover Room and Board Charges, which we bill on a UB under a daily rate that includes therapy and psychiatric services.
Would it be ok to break down the rev codes to 919 and bill the daily rate for just the room/board and also list 914, 915 and 916 to reflect the therapy sessions that occurred while in the facility?

Thanks for your help.

: Re: Federal Employee Program no longer covering room board
: aa1098 January 02, 2015, 12:49:23 PM

Where did you hear that the BCBS FEP program is no longer covering room and board?  The website shows for 2015 that inpatient room and board are covered:  http://www.fepblue.org/en/benefit-plans/so-benefit-tables/ (http://www.fepblue.org/en/benefit-plans/so-benefit-tables/).  For Standard they will consider "Inpatient Hospital/Facility room and board and other inpatient services" with a $250 admission copayment, pre-cert is required for PPO providers.